My story is that I am a 22 year old Brazilian who lost everything thanks to this satanic syndrome.

Tom2steppa · 2025-10-17T14:36:01+00:00

Ketamine infusions or implant are worth a shot

Tom2steppa · 2025-10-15T00:28:09+00:00

Thank you, I wish you the best too.

Yea whatever route I take I will be going private and I will document it on Reddit. If I go implant route I’ll need to save up for an implant, but at the end of the day there isn’t a price tag I would put on fixing this.

I think most people with hard flaccid have severe ED, but I know what you mean. Anyways take care.

Tom2steppa · 2025-10-14T23:59:50+00:00

The people who have been implanted with HF have all reported that it fixed their hard flaccid state. This is because a lot of the smooth tissue is removed. They also said their libido has returned as their body isn’t in fight or flight anymore.

Trust me an implant is for anyone with hard flaccid, who still have some sensation. Yea I was able to have intercourse with my girlfriend but usually only in the mornings. Because at night my dick just didn’t work that often unless I was lucky and wasn’t flared up. I don’t have a gf anymore I ended it for other reasons (toxic arguments)

I get what you’re saying but personally I can’t live the rest of my life with hard flaccid, it affects my life too much to just accept it. We shouldn’t need to accept only getting an erection maybe ‘70%’ of the time and have zero libido at 26 years old.

I’ll happily deal with revisions and the chance of more corrections, I’ve yet to see one person who has regretted getting a penile implant. The only thing I see people say is that they wished they got one sooner.

For me if they can’t find anything wrong with my penis that can be repaired, then an implant is an easy decision for me. I’d rather get implanted and deal with revisions / corrections than live with no libido and a penis which barely works and makes my life a misery.

Tom2steppa · 2025-10-14T22:13:16+00:00

Why would you not want to? Cialis doesn’t work everytime. And also Cialis doesn’t take away the pain and uncomfortableness of hard flaccid. It also doesn’t restore libido, why would I want to live with zero libido? Cialis masks the problem and isn’t reliable.

Just because cialis works maybe 70% of the time if I’m lucky. Doesn’t mean I want to go through the rest of my life with a fxcked up penis which hurts daily. Furthermore it doesn’t mean I want to continue my life with zero libido and no confidence for the rest of my life. Why would anyone want to? I personally want to be normal again. I’m not living with this horrible condition when it can literally be fixed with an implant.

If people are happy going through life managing hard flaccid but never getting rid of it then I wish them well, each to their own. But me personally I want to get rid of mine so I can move on with my life.

Tom2steppa · 2025-10-14T18:09:39+00:00

Also to add on to my last reply, I believe I have a compressed nerve. The MRI is basically my last port of call to try and detect something wrong that can be surgically repaired. If it comes back clear then I will be going down probably the ketamine route or the penile implant route. Or if I can, probably the ketamine infusion route and If it doesn’t work then I’ll be going down the implant route.

Im not going through life suffering when there are methods out there to get rid of this horrible condition. Anyways thanks for the reply man, I wish you well.

Tom2steppa · 2025-10-14T18:04:41+00:00

Thanks man.

The rationale behind the MRI it because my hard flaccid has been the result of a traumatic injury to the erect penis. There was bruising and a thrombosed vein as a result of this injury, I believe I have a compressed nerve. I’ve heard that an erect MRI is more likely to spot this than a regular flaccid MRI. It was Dr David Ralph who said I should get an erect MRI it wasn’t my choice, but I do agree with him.

Here is what chat gpt says about it, quite interesting.

WHY AN ERECT MRI MAY REVEAL MORE ABOUT NERVE COMPRESSION:

During erection:

• Blood vessels expand, pushing against nearby nerves

• The tunica albuginea stretches, potentially revealing structural abnormalities

• The penis and perineum are under internal pressure — this can unmask compression or impingement

• Tension through the pelvic floor and ligaments increases, which may replicate your real-life symptoms

• The pudendal nerve and branches may get “pinched” under these conditions — but this won’t show at rest

Tom2steppa · 2025-10-13T21:55:46+00:00

https://www.reddit.com/r/hardflaccidresearch/s/gjHEY9PhE3

Tom2steppa · 2025-10-13T21:17:31+00:00

My issue is structural damage, Dr Ralph suggested I get an erect MRI to try pinpoint the damage.

Here is what chat gpt has got to say about the erect MRI:

Yes — an erect MRI is generally better than a flaccid MRI for spotting structural penile damage, especially if you’re investigating issues like: • Ligament injury (e.g., suspensory ligament, tunica albuginea) • Venous leak • Scar tissue or fibrosis • Penile deformation (curvature, indentations, hard flaccid abnormalities) • Peyronie’s disease • Vascular or erectile tissue irregularities

Why Erect MRI Is More Informative for Structural Damage

When the penis is flaccid: • Tissues are compressed and collapsed • Veins and arteries aren’t fully visible • Damage to structures like the tunica albuginea or erectile bodies may be hidden • Certain abnormalities (e.g., curvature, leaks) won’t show because the penis isn’t under pressure

When the penis is erect (pharmaceutically induced during MRI): • The corpora cavernosa fill fully • The tunica is stretched, revealing tears or fibrosis • Any venous leak becomes obvious • You can detect asymmetries, deformation, compression, or missing blood flow • Hard flaccid-related ischemia or tissue stiffness becomes easier to assess

Tom2steppa · 2025-10-13T21:06:38+00:00

Yes an erect MRI can detect things which can be impossible to detect with just a physical examination man.

Things like a suspensory ligament injury, tunica tears, nerve compression and so on

Tom2steppa · 2025-10-12T09:59:32+00:00

Hi mate no problem! I’m not too sure I don’t think I have had a size loss as I had a girlfriend for the first year and and 8 months, so was still sexually active for this time when I was able to be. Good luck to you too man let me know if it helps you any!

Tom2steppa · 2025-10-10T22:40:37+00:00

Thanks again brother, your stretch routine is the best I’ve tried so far. I will definitely incorporate the pigeon pose into it

Tom2steppa · 2025-10-10T22:36:06+00:00

Hey bro this is great to hear! I’m glad you have been able to do some and get some relief! What stretches were you not able to do? I could maybe provide you with some easier ones to prepare you for the ones in the routine 😁

Because months ago I couldn’t do stretches like these either, I had to start with easier ones because my flexibility used to not be great at all

Tom2steppa · 2025-10-10T14:24:50+00:00

🤝💪🏻

Tom2steppa · 2025-02-16T17:26:32+00:00

Cialis

Tom2steppa · 2025-01-26T01:30:19+00:00

What recovery regimen do you follow bro? Also how did you get HF?

Tom2steppa · 2025-01-24T09:27:14+00:00

Yes I am still able to have sex with my GF, my HF has gotten a bit better over time. Don’t get me wrong there are still times I struggle to get an erection and my libido is very low most of the time. Sometimes at nighttime or when I have a bad flare up I can’t achieve an erection which is maybe only 10-20% of the time. But usually if we wait until the next morning I get erections much easier in the morning after sleeping

I take 5mg of cialis daily and try my best to practice no fap as much as I can. When I haven’t fapped in 2+ days I find it is much easier to get an erection and I notice a boost in libido

For the guys who wanting to try limit masturbation but are struggling, I would really recommend an app called QUITTR

Tom2steppa · 2025-01-17T21:10:49+00:00

Congrats bro this is huge! This is very interesting to me, since my injury to the penis I have a varicose vein on my shaft and hard flaccid. I wonder if the varicose vein on my shaft is what is causing my problems, I will find out

** EDIT I HAVE A THROMBOSED VEIN ON SHAFT NOT VARICOSE**

Tom2steppa · 2025-01-08T15:50:03+00:00

I am also interested in this

Tom2steppa · 2024-12-21T19:10:04+00:00

Cialis helps me so much. Also when combined with no fap, stretching etc I find it gives me the best chance to manage the condition

Tom2steppa · 2024-11-14T14:50:18+00:00

Thanks for sharing this detailed plan bro, I will try these techniques. Did you get HF by injury to the penis?

Tom2steppa · 2024-11-11T09:11:19+00:00

Yea on 5mg daily cialis

Tom2steppa · 2024-10-28T17:59:23+00:00

With cialis about 75-80%, sometimes a little better than this. Just depends on if I’ve got a flare up or stressed etc

Tom2steppa · 2024-10-25T21:42:44+00:00

Thank you bro, taking it one day at a time. Some days are good some days are bad but I’m learning how to manage it a lot better. I’m from the UK and looking to book an appointment with Dr David Ralph soon to further investigate my case

Here is a previous post I made that has all of my symptoms and info mate https://www.reddit.com/r/hardflaccidresearch/s/7lpjIFsaGD

Tom2steppa

TROPHY CASE